Automatic plural temperature timing therapeutic bath



Dec. 24, 1946. R. E, SHURTZ 2,413,002

AUTOMATIC PLURAL TEMPERATURE TIMING THERAPEUTIC BATH Filed June 1, 1942 10 Shets-Sheet 1 INVENTOR: K45. Java/P725,

Dec. 24; 19%. R. E. SCHURTZ 2,413,002 AUTQMAT IC PLURAL TEMPERATURE TIMING THERAPEUTIC BATH Filed June 1, 1942 10 Sheets-Sheet 2 4%?! 6: I INVENTOR:

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Dec. 24, 1946. R, E, scHu z 2,413,002

AUTOMATIC PLURAL TEMPERATURE TIMING THERAPEUTIC BATH Filed June 1, 1942 10 Sheets-Sheet I5 INVENTOR.

Dec. 24, 1946. E. SCHURTZ 3 50 AUTOMATIC PLURAL TEMPERATURE TIMING 'II'IERKPEUI'IC BATH Filed June 1, 1942 10 Sheets-Sheet 4 I N VEN TOR:

Dec. 24, 1946. R. E. SCHURTZ 2,413,002

AUTOMATIC PLURAL TEMPERATURE TIMING THERAPEUTIC BATH Filed' June 1, 1942 10 Sheets-Sheet 6 llll'l'l'l'l'rf HHII h" INVENTOR: .l /4/ 19. Zj'c/w/Frz,

Dec. 24, 1946. R. E. SCHURTYZ 2,413,002

AUTOMATIC PLURAL TEMPERATURE TIMING THERAPEUTIC BATH Filed June 1, 1942 10 Sheets-Sheet 7 5 a8 A I 9' Dec. 24, 1946. R. E. SCHURTZ 2,413,002

AUTOMATIC PIJURAL TEMPERATURE TIMING THERAFEUTIC BATH.

Filed June 1, 1942 10 Sheets-Sheet 8 Dec. 24, 1946. 2,413,002

AUTOMATIC PLURAL TEMPERATURE TIMING THERAPEUTIC BATH R. E. SCHURTZ Filed June 1, I942 10 Sheets- Sheet 9 awe/Mom E ME Sam/n2,

Patented Dec. 24, 1946 OFFICE AUTOMATIC PLURAL TEMPERATURE TIMING THERAPEUTIC BATH Ralph E. Schurtz, Kansas City, Mo.

Application June 1, 1942, Serial No. 445,374

11 Claims.

The invention relates to douche apparatus, and particularly to means for administering the Scotch douche in conjunction with treatment such as may be administered by the apparatus disclosed in my Patent Number 2,292,666, of August 11, 1942, for Therapeutic bath apparatus.

Experience of the medical professions and other physicians over a long period of years has now established that the spray bath, including what is known as the needle bath, the fan douche, and other spray bathing methods, as well as fluid current bath practice have remarkable beneficial effects in the amelioration or cure of many ailments of human beings, and more advanced developments of these practices have established the fact that alternation of different temperatures in the water applied, in degrees appropriate to particular cases or particular types of ailments result in further pronounced benefits in most of the cases where douche treatments are indicated.

In some cases, moderate extremes of temperature and a more or less gradual change in the temperature of the water applied to a patient between the extremes decided upon are found advantageous, particularly those cases where shocking effects might be undesirable, such treatment having been found beneficial in heart ailments and in other pathological conditions, including the relief of arterio-sclerosis. In other cases, Where the maximum invigorating effects are desired, abrupt changes of temperatures between wide extremes, in the stream applied to the body of a patient, is found advantageous and beneficial. While it has been recognized that the application of the simple needle bath at a low temperature is beneficial to men and women generally, especially those of feeble muscular fiber and people who lead sedentary lives, or are suffering the results of dissipation, such baths of moderate duration having a highly refreshing and invigorating effect. Such baths are principally beneficial by reason of the reaction pro duced by the massage effect and the application of cold water in the needle spray form. It has been stated by Dr. W, B. Oliver, Principles and Practice of Hydrotherapy, by Simon Baruch, M. D., 1920, W. B. Saunders 00., Washington Sq., Philadelphia, Pa.:

"The massage douche and needle bath is the form of bathing best adapted to counteract the enervating effects of city life with all its attendant worries and anxieties, and would prove a boon to sufferers from nervous exhaustion. In all those diseased conditions in which the loss of muscular vigor is the result of feeble digestion, depreciated nerve tone, or even of organic disease, the douche in its numerous modifications offers a method of restoring vigor which is often surprising by reason of the rapidity and completeness of the result.

For improving stamina and muscular strength of normal man, the alternated temperature bath also has peculiar value, in increasing the muscular force which may be exerted by a given person, it having been found that a cold spray under a pressure of two atmospheres will increase the sum of work which muscles are capable of doing three-fold.

Warm baths by submergence tend to diminish muscular power, but combined with mechanical irritations such as involved in a needle spray, this effect is offset largely, and when accompanied by alternated applications of low temperatures, such as 53 degrees F., muscular vigor is greatly increased and the power of resisting fatigue enhanced, in addition to increasing the actual work which muscles are capable of doing.

Other pathologic effects are obtainable with applications of this kind, including physiological thermic effects accompanied by erethemous conditions under the application of cold sprays, with the usual benefits resulting from such reaction.

It has been found that in the alternated temperature treatment, the colder the water and the more brief the applications, the more complete the reactions and stimulus evolved. In such treatments, where the cold water is applied at a temperature below 55 degrees F., it has been considered desirable never to continue such application for a period exceeding one minute, and it is judged by medical authorities that it should usually occupy only from ten to thirty seconds upon any one part of the body.

Treatments of this kind are beneficial for the general health, in specific organic disturbances, or illnesses, neurotic conditions, enhancing the recovery from wounds, and relief of conditions where local reactions are desired. These benefits develop from the fact that the percussion and vibratory infiuence as Well as thermic irritation arouse the vaso-motor system, arouse the nerve centers by which respirationis deepened, the circulation invigorated and secretions increased. The treatments are also beneficial because the application of water accompanied by the percussion of thermic massage excite the neuro-vascular structures, serving as an admirable sorbefacient of pathological products especially when accompanied by the alternated hot-cold applications,

in addition to other benefits attained, some of which have been enumerated above.

From the foregoing, the utilization of my invention as hereinafter disclosed will be understood and its advantages appreciated, the practices indicated being largely applied abroad, and in many health resorts and hospitals in this country.

It is therefore an important aim of this invention to present a means whereby a bath of the general character indicated may be applied by automatic means without requiring the constant manual direction of bath sprays and manipulation of valves to efiiect the changes of temperatures desired. It is a particularly important object of the invention to present an apparatus which may be set at will to produce alternated series of hot and cold applications, the predetermined lengths of the respective temperature periods being maintained automatically, although variable at will, independently. of each other, so that if desired, the device may be set to give a long period of warm applications altermated with extremely short periods of cold applications, or, may be set to lengthen the cold applications with longer or shorter periods of warm applications than first referred to.

A further aim is to present an apparatus in which the two extremes of temperature may be readily controlled by simple settings of the device. All of this is with the end in view of enabling a patient to be introduced into position to receive the spray or other bath applications, and to then set in operation my invention so that the desired specific treatment suited to the case in hand will be automatically applied without further attention from physicians or attendants.

An important aim of the invention is to present an apparatus of this kind which may be utilized by physicians without requiring mechanical aptitude or familiarity with the machine, or training in the particular construction of the bath apparatus, or its operation, but by the simple setting of respective dials or pointers which may be calibrated at minutes or seconds, for application of hot or cold water or solution, and the adjustment of respective temperature controls for the two sources of supply, and so that the desired treatment may be attained by a simple positioning of the patient in the bath apparatus or with respect to the spray head, nozzle, or other device from which the water is passed to the patient.

A further important aim of the invention is to present apparatus which may be cheapl constructed and yet will operate with the utmost certainty and dependability. I

A further important object is to present apparatus which may be embodied in a unit which may be set up without requiring plumbing connections, and requiring only the plugging in of an electrical connection in the ordinary electric service outlets now generally installed throughout homes and ofiice buildings and hospitals.

It is also an aim to enable the unit to be incorporated by merely connecting the infiuent ducts to hot and cold water supply pipes or spigots, and its efiluent to a usual waste pipe.

- A further important purpose of the invention is to present an operative mechanism forthe operation of a valve or valves so thatthe alternate admissions of hot and .cold water to the spray nozzle and the timing thereof may be accomplished without requiring. special electric motor therefor or mechanical transmissions but utilizing simply the flow of water to the spray nozzle.

And further, it is sought to present a novel means to effect this alternation and timing of hot and cold water flow, and to coordinately control the disposal of the waste so that, in a system where conservation of the bath fluid is necessary, the hot and cold fluids may be preserved in separate reservoirs in the machine being drawn therefrom for supply to the spray, and returned thereto respectively after use.

Additional objects, advantages, and features of invention reside in the construction, arrangement, and combination of parts involved in the embodiment of the invention, and in its functions, as will be more clearly apparent from the following description and accompanying drawings, wherein Figure l is a rear side elevation of a bath apparatus, partly in section;

Figure 1a is a longitudinal section of a two- Way plug valve suitable for use as the valve 49.

Figure 1b is a similar viewat right angles to Fig. 1 a. Y I v Figure 2 is an end view of Figure 1.

Figure 3 is a top view thereof.

Figure 3a is a fragmentary view similar to part of Figure 1, showing a single-tank apparatus, this being suitable where a low pressure cold water pipe supply is available.

Figure 3-47 is a similar view showing a further arrangement of parts for a single tank apparatus in which a pump is utilized to move the water from the tank to the spray head, and a water main cold water supply is carried directly to the spray head, independently of the pump.

Figure 4 is an enlarged fragmentary section showing the tilting trough.

Figure 5 is an enlarged detail of the valve and tilting trough connection;

Figure 6 is a plan of the valve and pipe system.

Figure 7 is a fragmentary elevation with parts broken away, of a modified single-tank construction.

Figure 8 is a fragmentary plan of the valve and trough devices of Figure 7.

I I Figure 9 is a rear side elevation of a tilting cover cabinet.

Figure 9-a is a fragmentary top view of the last named.

Figure 10 is an elevation of the foot end thereof. Figure 11 is an elevation of the automatic hot and cold water valve;

Figure 12 is a longitudinal sectional view of the last named. I

Figure 13 is an end elevation of the last mentioned valve. I I I I I Figure 14 is a cross section on the line i l-l4 of Figure 12. I I

Figure 15 is an elevational view of the last mentioned valve used with hot and cold water tanks. Figure 16 is a similar view showing the yalve used with piped hot and cold water supplies, a II Figurel? is a sectional view of a cabinet show ing my spray head mounted fixedly on the cover for translative movement with the cover.

Figure 18 is a view similar to Figure 1, showing the complete installation using the automatic valve device 49-a; Figure 19 is a fragmentary rear elevation of the portion broken away in Figure 18. Figure 20 is a sectional view corresponding to the left hand portion ofFigure 12, showing. a simplified construction of the connections be tween the diaphragm and valve 98. Figure 21 is a view similar to Figures 1 and 18,

showing an embodiment of the invention in" its simplest form as far as construction of the circulatory system and the installation are concerned, when hot and cold water are available from piped supplies, or mains.

Figure 22 is a view of a construction of the invention utilizing an electrically operated valve, the valve and operating device being in section, an automatic timer switch being in elevation and the electrical circuit being shown diagrammath cally.

Figure 23 is an elevational view of the valve showing the outlet port.

Figure 24 is a detail of a shiftable contact for the switch.

Referring more particularly to the drawings, there is illustrated a cabinet 20, including a framework 2 I, supporting at a convenient height for the uses indicated a bath tray 22, which, in Figures 1 and 2, is at least long enough to accommodate the body of a patient excepting the head, as will appear, and in the tray there is disposed a mattress 23 which may be covered with a waterproof material. The lower part 24 of the cabinet comprises a housing within which certain operative devices, such as pump, valves, and tanks (to be subsequently described) may be accommodated. An access opening of convenient size, with appropriate closure 25 is provided in this lower cabinet housing. At the end of the cabinet a head rest tray 26 is extended from the end of the cabinet, supported by stays 21 and having thereon a pillow 2B which may lie at the same level as the mattress 23, or may be slightly elevated thereabove, as preferred. At the front side of the cabinet, the wall of the lower housing stops on a level with the top of the tray 22, and has hinged thereto a drop door 29, which may be lowered to position against the side of the housing below the level of the tray and mattress at times, or raised to a vertical position extending a substantial distance above the mattress, as may be seen. This door has a rightangle wall extension 30, which, when the door 29 is raised to erect position, extends inwardly toward the rear partly across the head end of the cabinet, stopping short of the medial longitudinal vertical plane of the cabinet sufficiently to clear the neck of a patient whose head rests upon the pillow 28, while his body is reclining upon the mattress 23. The back wall of the housing 24 is extended to a level above the tray 9, distance corresponding and equal to the height of the door 29 when raised, and at the head end of the housing there is extended from the back wall at right angles, a short wall 3!, which cor-- responds to the part 30 of the door when the latter is closed, and between the wall extensions 30 and wall portion 3! a neck opening 32 is thus formed, and, if desired, any additional means may be provided for securing a snug fit of closure around the neck of the patient.

At the foot of the cabinet, the housing wall is extended upwardly to the same extent as the back wall, door 29, and parts 30 and 3|; so that when the door 29 is raised to closed or vertical position, a wall extends continuously around the tray 22, interrupted only at the neck opening 32, this wall having a height considerably greater than the height of the body of a patient reclining upon the mattress 23.

Pivoted upon the frame at the front rear'corner thereof there is a horizontally swinging cover 33, somewhat in the form of the frustrum of a pyramid having an oblong rectangular base, and including front and back walls 35 inclined toward each other, and end walls 36 likewise inclined, with a horizontaltop plate 31 forming a junction with these four walls.

In the present instance the tray is formed near its head end with outlet openings 38 adjacent each side of the tray, the mattress being sufficiently narrow throughout its length to clear these outlets and to afford a space between the sides of the tray and mattress for ready longitudinal flow of water and other liquids, the tray being slightly inclined downwardly toward these outlets for drainage of liquids to the openings 38. The tray may also have outlets 39 through its bottom spaced inwardly beneath the mattress and closed thereby, although other means may be utilized for such closure, if desired.

Around the outlets 38 there are formed short downwardly extended spout portions or lips 40, for guidance of liquids from the tray as desired, and revolubly mounted beneath the tray and extended transversely of the tray beneath thetray and extended transversely of the tray beneath these spout portions, there is a rock shaft 4| upon which one or more tilting troughs 42 may be mounted, one being shown, extending in both directions longitudinally of the tray from the shaft, and capable of movement so as to incline downwardly toward the head of the tray in one position of the shaft, and downwardly toward the foot of the tray in the other, at all times being open for reception of liquid from the outlet 38.

Beneath the tray 22 in one form of the invention, are two tanks 44 and 45, respectively, which may be conventional open tanks adapted to hold a suitable quantity of water or bathing solution, and one of the tanks may include any conventional means for heating the same to a desired temperature, including any conventional thermostatically controlled heater 43 including a thermostat 41 conveniently located at the rear of the cabinet, as will subsequently be explained. These two tanks have transverse planiform ends located closely to each other and immediately under and in alinement with the shaft M,

or parallel to the same, being located so close together and spaced sufficiently below the shaft as to permit the trough member 42 to be inclined alternately at its ends to one tank or the other, according to the position of the shaft 4|. It thus may be operated to direct effluent material from the tray into either of the tanks, by rocking of the shaft 4!, as required. Each of these tanks is provided with a safety overflow standpipe 48 leading to a suitable waste duct, and also each tank is provided with an outlet port or opening in its bottom, from which respective feed water pipes 56 and 51 lead to a main control valve 49, by which the flow from either pipe alternatively may be directed to a pump supply pipe 50, leading to the intake of a centrifugal or other pump 5| suitable for the uses hereinafter indicated and also indicated in the introduction to this specification. The outlet from this pump may lead to the standpipe 32 of my prior co-pending application, and if desired, a by-pass connection 52 may be provided, from the outlet duct 53 of the pump, to the feed pipe 50, which by-pass may include a pressure controlling .valve 54.

The valve 49 may be of a conventional two-way type, so that liquids from the ducts 55 and 51 may be alternately directed to the pipe ill, and in the simplest form of the apparatus this valve may be of a rotary type on a vertical axis including a valve rod 55 extending upwardly at the rear side of the apparatus and having a horizontallever handle 58 thereon adapted to be operated by the patient in the cabinet or an attendant outside the cabinet.

In the present instance this valve is coordinated with the rocking trough 42 so that when the valve is in position to feed hot water to the pipe 50, the trough 42 will be inclined in the position shown in dotted lines in Figure-4, so as to discharge water from the trayinto the hot water tank 44, and when the valve is in the opposite position, supplying cold water to the pump, the trough 42 will be oppositely inclined, so as to deliver cold water to the tank 45. In the present instance this is obtained by locating the valve rod 55 on an axis intersecting the axis of the shaft 4|, but located outwardly of the end of the latter, and mounting the large bevel gear 59 on the end of the shaft 4|, and a small bevel gear 60 on the rod 55, meshed with the gear 59, so that movement of the lever 58 will rotate the gear 60, and so move the gear 59 to a lesser degree, so as to rock the shaft 4| to the limited extent required while the lever 58 is moved through a radius of 180 degrees. The latter extent of movement is desirable in order that the direction of the handle lever 58 may positively indicate whether hot or cold water is being supplied to the pump for application to the body of a patient within the cabinet. The connections between pipes 56 and 51 and the valve 49 may include a, T element 6| leading through valves 52 to respective waste pipes or ducts 63, which may discharge into a common drain or other place of disposal of waste products.

For the convenience of attendants, and also to enable a patient to operate the apparatus if desired, as would be the case where the apparatus is maintained in a private home, in many instances, an instrument panel or case 64 is formed in the back of the cabinet, which may support a frame or suitable closure, as may be readily understood, and the valve 49 is located centrally of this panel, with the waste valves 62 on respective sides thereof, substantially as shown in Figure 6, and in Figure 1. The pump.5| is shown as direct-connected to an electric motor 85, which may operate constantly, and the valve 49 may have an intermediate position in which the intake 50 will be closed, when it is not desired for the spray to operate. The panel frame may be utilized for the mounting of the thermostat 41, a pressure gauge 66 being connected with the outlet duct 53 between the pump and the pressure regulating valve 54, as indicated in Figure 1. The thermostat 47 may include a hand knoband pointer and a suitable fuel valve or switch on the heat control, so that an attendant may set the thermostat to maintain any desired temperature in the water of the tank 44.

It should be noted that in the use of the simple type valves 49 and 62, it is possible to arrange the handles with which these valves are operated so that when they point outward transversely of the cabinet, they are closed and so indicate, and when opened, the direction of the handles will indicate the direction of flow of liquid therethrough. If desired, the panel structure 64 may be located inwardly of the plane of the back wall of the housing 24, so that the handle 58 of the Water temperature control valves '49 and the handles 61 of the waste valves 62 may be operated by a patient under treatment within the cabinet, and by providing a small access door 68 in the rear of the cover immediately adjacent 8 the panel frame 64, an attendant may operate these valves from the exterior of the cabinet. If desired, the trough 42 may extend entirely across the bottom of the tray 22, or individual narrow troughs may be provided for each of the outlets 40, this being within discretion of the manufacturer and user.

The device utilizing both the tanks 44 and 45 are-suitable for situations where the apparatus is mounted in a room distant from sources of water supply, or where it is not possible to make direct plumbing connections, but in other situations, it may 'be possible to utilize hot and cold water supply through plumbing fixtures from a .5 distant source, or to utilize cold water supply for the cold shower and utilize a local hot water supply in the form of a tank corresponding to the one 44, the latter arrangement being illustrated in Figure 3a, in one form. In any of these devices, the control wheel by which speed of the spraying device within the cover of the cabinet is varied and controlled, may be located so as to project through a slot 69 in the cover when closed, enabling it to be operated either from the exterior or interior of the cabinet.

In Figure 3a, a cold water main is shown connected to the valve 49 in the same situation as the pipe 51, and corresponding thereto, a pressure control device H being incorporated in the main, so as to control th pressure supplied as may be required, although water may pass through the pump 5| in the same manner as the hot water from the tank 44.

In the device of Figure 3a the need for the cold. water tank is obviated, and the tilting trough is utilized to direct the water from the outlet into a hopper l2 discharging into a waste pipe 53, corresponding to the one 63 of Figure 1. The apparatus may otherwise be the same as that first described. In case a hot water supply is obtained from a main, as well as a cold water supply from a main, and there is no need to conserve the water from either source, an

arrangement may be made whereby a waste pipe is led directly from the discharge openings 38 and 39 of the tray l2, this being suificiently obvious in the structure to require no illustration.-

In Figure 7 a modified construction for at-- taining the conservation of hot water in a pump circuit including the spray nozzle, while the cold water isobtained from a main and discharged through a waste pipe, is illustrated. In this instance, the bath tray 22 corresponding to the one 22 first describedis formed with a transverse channel 13 near the head end thereof, from which a single discharge opening 40' opens downwardly over a tank 14 for hot water, which may have therewith the usual heater '46, as before indicated. An overflow stand-pipe 15 is mounted in this tank, leading downwardly to a waste pipe 16, and a drain connection at the tank bottom may be made at 71 with the s'ame'waste pipe, with an included valve therein'as shown.

Mounted slidably on a bolt 78 or other guide means under the tray 22, there is a shiftable trough '19 of elongated form. As shown, one end is swivelled at the discharge spout 40, while the other end of the trough is formed with a downwardly directed discharge spout 8B, which, in one position of the trough, lies over the upper flared end of the stand-pipe 15, so as to discharge directly thereinto, the trough however being horizontally movable upon the bolt 18 swingingly at this end so as to be moved from the pipe 15 to position where it may discharge directly into the tank 14-. In this system, a two-way valve 49 is used, the pump having its intake connected constantly to the tank 14', and its discharge 51'' to one side of the valve 49, a cold water pipe 8| leading to the same valve from a supply main and including therein a pressure regulating valve 82. The outlet 83 from the valve 49 may lead directly to the spray nozzle in the cabinet as heretofore indicated. The valve 59 for convenience is shown as a simple plug valve having a handle 84 which is elongated to constitute a lever, to which a link 85 is connected, extending to the trough 19 and connected thereto so that as the valve is operated the trough will be swung correspondingly. With the handle 84 at left hand p sition as in Figures 7 and 8, water from the tank 74 through the pump will be directed to the pipe 83 and spray nozzle. When the handle is swung to the right however, the warm water is cut off and the cold water from the pipe 8| admitted to the pipe 83. At the same time the link 85 will swing the trough T9 to the position dotted in Figure 8, over the stand pipe 75, so that the cold water returning from the tray 22 will pass into the overflow pipe 15. At this time the discharge from the pump is bypassed to its intake at 52' past the pressure regulating valve 54', in analogy to Fig. 5 as heretofore described.

In the last two described forms of the invention, panel arrangement and auxiliary instruments may correspond to those involved with the device of Figure 1, as may be understood.

While a simple hand valve has been illustrated in the foregoing described structure, principally to simplify the disclosure of the circulatory system, it is contemplated to use an automatic valve thereat, as first mentioned, as will be described hereinafter,

In Figures 9 and 10 there is illustrated a modi fication of the cabinet structure in which the water supply and distribution system may conform to any of the arrangements before described with the exception that the pipe leading from the water control system to the nozzle is passed through a. hinge pivot of the cover of the cabinet, which in this instance is pivoted to lift instead of being horizontally movable. In this case, also, it is contemplated to mount the spray device on the movable cover, so as to be contained and movable therewith translatively as a unit with the servo-motor of the spray head and other immediate adjuncts (see Fig. 17), Here the lower section 14' of the cabinet may be the same height as the upper edge of the bath tray 15' which may generally correspond to forms of trays above described. Hinge brackets 76' are provided on the foot end of the lower cabinet section, and fixed upon the adjacent end of the cover H there are corresponding brackets 18. A pivot pipe 19 is mounted on the brackets 15', upon which the cover brackets 18' are revolubly engaged, so that the head end of the cover may be lifted with the pipe 19. as a pivot. The brackets 78' are mounted with downwardly extended arms 80, which may be extended inwardly into the lower section of the cabinet as shown in Figure 9. Connected between the extremities of these arms and suitable anchorages 14" in the base section of the cabinet there are respective counterbalancing springs 8|, so that when the cover is lifted, much of its weight is initially counterbalanced by the tension of the springs, and a minimum of effort is required to manually lift the cover. It will be seen that by the movement of the arms Si) convergently toward the anchorages 82- ofthe springs, the ten- 10 sion on the latter will progressively decrease as the cover l'l' is raised, The pipe 83' in the lower part of the cabinet, carrying the supply for the spray head, is led to a T 84' in the pipe 19', and the bracket 18 has fitted thereon a packing box or the like 85", engaged around the pipe '59, the

bracket 78 being hollow, and the portion 84' of the pipe 19 having a port therein opening into this hollow portion of the bracket 18. A conduit extension 86 is extended from the bracket 18, within the cover 5-7, from which it may be eX- tended to the supply line for the spray head of my invention, as constructed in my prior application hereinbefore referred to, to which reference is made for an understanding of the structure thereof.

All of the foregoing is made with a view to disclosing generally the operative elements and functions of my apparatus and system for administering alternate hot and cold treatments from an oscillating or other spray nozzle, and in order to obtain the automatic functioning of the alternated administrated treatment of the two different temperatures, I have disclosed in Fi ures 11 to 14 inclusive, a valve and valve operating unit which may be utilized at the location of the valve 49 or at the most convenient location thereadjacent for the operation of such a valve as shown. at 48 or iS-a, or such other type of valve as may be found most advantageous for use with my automatic system.

The automatic valve device is indicated generally by the character 49--a, and consists in the present instance of a case including a case body casting 90, which, in order to obviate the need for wear lining or the like is preferably cast in a durable bronze, of generally cylindrical form, including a cylindrical chamber 9| open on the left-hand end of the body in the present device, and around this open end being provided with one-half of a diaphragm housing 92 of conventional form, the opposite half 83 of which may be bolted thereto upon an intervening diaphragm 9 3 of suitable material, the diaphragm housing affording sufficient play of the diaphragm and for access to=the chamber 9| for the purposes hereinafter indicated. In this particular instance, the diaphragm housing is of circular form, but is eccentric to the body portion 9|] and chamber 9|, so that the center of the diphragm is above the axis of the chamber as viewed in Figure 12. A sliding stem 95 is fixed on the diaphragm, extending longitudinally into the chamber 95, coaxial with the diaphragm and spaced above the axis of the chamber, this being guided by a ball or roller bearing 96, travelling in a suitable groove on the upper side of the stem and against the upper wall of the chamber 9|. The body at the end opposite the chamber portion is formed with a reduced cylindrical bore 91, in which a plunger valve98 is reciprocable, this valve having a stem 99 extended longitudinally into the chamber'9l' on the axis of thelatter, and formed with a transverse aperture or slot I00 therethrough at its extremity, this aperture being broadened longitudinally of the stem, and receiving an operating pin |0|- of cylindrical form therethrough, so that this pin has lost-motion longitudinally in the stem for a limited distance. The pin iii! is carried by a driving member I02, which may be a casting or bar, formed in substantially U-shape, the pin being at the extremity of one upstanding arm, while the bight portion 163' thereof is of rectilinear form extending horizontally in the chamber'and-in'closeparallel relation to the lower side of the latter, a ball or roller bearing I04 being interposed between this part of the driver and the lower wall of the chamber, so as to support the driver, as will be apparent. If desired, the under side of the driver may be grooved to aid in preserving longitudinal alinement, and the wall SI of the chamber may be similarly grooved as indicated, for the same purpose. The upper end of the outermost arm I05 of the driver I02 is notched on its upper end, as at I06, while the under side of the stem 951s similarly notched, as at I01, in such manner that, with the driver I02 at the left-hand limit of its movement, which is the longitudinal outer limit, when the diaphragm moves to its full stroke to the left with the stem 95, the notch I01 on the latter will move slightly outwardly of the notch I06, and similarly when the driver is at the right hand limit of its movement with the valve, when the diaphragm moves to its right hand limit, the notch I01 will pass inwardly beyond the notch I06, all for a special function which will be subsequently indicated.

A U-spring I08 is provided, the arms of which are curved inwardly toward each other, and provided with lateral pivot pins H0 at its extremities set revolubly in respective notches I06 and I01 and held therein by expansive force of the spring. This spring is under compression between the stem 95 and the driver I02, so that the latter is pressed downwardly upon the anti-friction bearing I 04, while the stem 95 is pressed upwardly against the anti-friction bearing 96. The claw portions of the spring I08 are extended laterally of the body portion of the spring, so that the latter is set off from the vertical plane of the driver and the stem 95, and may. swing beside these two at times, as will be hereinafter explained. In addition to pressing the driver downwardly and pressing the stem 95 upwardly, the spring I08 also thrusts the driver longitudinally in its chamber: when the diaphragm is at the inner limit of its movement this thrust being exerted outwardly so as to hold the plunger valve 98 at the left-hand limit of its movement, as viewed in Figure 12, but when the diaphragm is at the left-hand limit of its movement the spring I08 extends upwardly, and thrusts the driver inwardly, as well as holding it downwardly. p

In the movement of the diaphragm toward the left, the upper end of the spring I08 is drawn toward the left and carried longitudinally beyond its lower end, so that the loop of the spring is caused to rotate on the lower end as a pivot or step bearing, until the loop portion of the spring is extended upwardly instead of downwardly, as in the position illustrated by dotted lines in Figure 12, and its upper end being then longitudinally outward of the arm I05, the spreading tendency of the spring and its thrust against the last mentioned arm resulting in pushing the driver inwardly longitudinally within the chamber so as to move the plunger valve to the inner and right hand limit of its movement, as will be understood. Oppositemovement of the diaphragm results in a reverse operation by which the driver and plunger valve are again moved to the outer limits of their movements as illustrated in Figure 12. This movement may be checked by any suitable stop device, which may be a screw II 0' engaged through the wall of chamber 9|, although other means may be employed as found desirable. The function of the slot aperture I00 in the operation of the device is such as to permit a certain amount of longitudinal movement of the driver I02 before it engages the plunger valve to move the latter, and thereby gives the spring I08 an opportunity to move a suflicient distance to obtain the best advantage from its expansive action in order to move the valve with certainty. This lost-motion occurs on the movement of the driver in each direction.

The plunger valve is substantially spoolshaped, having a central body portion III of reduced diameter, in its central part, and having a small axial bore or port II2 extending entirely through the valve, opening beside the stem 99 on the left-hand end, and opening concentrically through the end of the valve at the right hand end, as indicated. At the left position of the valve, Fig. 12, this port forms communication between the right side of the diaphragm 94 and an operating water port I29 in the case, as will be described. A broad land H3 is formed at the left-hand end of the valve on its larger diameter, and a corresponding part at the opposite end is formed with a circumscribing narrow groove or channel Ill, which may be termed a port channel. The bore 91 is of a length slightly longer than that of the length of the valve between the left hand limit of the land I I3, and the opposite extremity of the valve and the end of the bore at the last mentioned part is closed by a cap plate I I5.

Cored in the wall of the valve body circumscribing the bore 91, there are longitudinally spaced water passages H6 and H1, respectively, the one around the left hand end portion of the bore, while the other is spaced longitudinally toward the opposite end of the bore from the first passage, and opening from these passages there are respective pipe nipples or bosses I I8 and I I9, bored and tapped for communication with the respective passages and to receive hot and cold water pipes respectively indicated at 56 and 51'; and these may be the same pipes shown at 56-51 in Figure 1, suitably extended or shaped for the connection indicated. From the opposite or lower side of the casting, there is projected a central boss I20 likewise bored and tapped, to receive a discharge pipe 50, which may be continued to the pump by suitable extension in accordance with the disclosure in Figure 1, to function as the pipe 50 therein shown and heretofore described. Within the casting 90 open on and circumscribing the bore 91 between the passages II 6I II, there is a channel I2I, from which a port I22 opens into the bored and tapped boss I20. The port I22 is broadened longitudinally of the casting, as indicated, and has a crank arm I23 movable longitudinally of the casting therein, this arm being extended from a shaft I24 mounted revolubly below, and arranged transversely of, the casting bore 91. The extremity of the arm I23 swings closely adjacent the lower side of the reduced central body part III of the plunger valve, and two lugs I23 are formed on the body part III arranged to strike the end of the arm I23 as the valve reciprocates, and move the arm first in one direction and then the other. This shaft is mounted in any usual packing box, and extended exteriorly of the boss I20, being provided on its outer end with a crank arm I26, connected by a push rod I25, to the rocking trough 42, as shown in Figure 15, where the tanks 44 and 45 are indicated, with respective pipes 56' and 51 leading to valve 49-11 and so indicated. The push-rod I25 is slidably mounted in a suitable guide I 21, conventionally shown, but which it will be understood permits suflicient pivotal movement of the rod for free movement by the arm 13 I26, this guide being located close to the upper end of the push-rod, so that the latter may be used to rock the trough 42 for the purposes indicated.

Near the extremity of the casting 98 next to the cap plate H5, there is formed on the lower side of the casting a tapped boss I23, from which a communicating passage I29 for valve operating water or other operating fluid is cored in the body casting, opening on the bore 91 to a suitable extent for the purposes hereinafter described, and if desired, longitudinal extensions I29 may open therefrom on the end of the casting, registering with terminations of a corresponding passage I30 in the cap plate H5. Engaged in the boss I28,

there is a pressure supply pipe I3I, which may lead from any suitable source of water under pressure, such as the outlet of the pump or any usual water supply from household or street mains, or the like. This water is the operating water for the automatic valve, and is discharged independently of the water which passes to the spray head of the bath apparatus, as will subsequently appear.

From the passages H3 and II? respective port slots I32 and I33 open through the wall of the bore 91, and these slots may be continuous throughout the circumference of the bore if desired. These slot ports are so spaced that with the valve at the left-hand position as shown in Figure 12, the land I I3 will be immediately adjacent the slot port I32, so that upon movement of the valve toward the right it will immediately begin to close the slot I32. Slot I33 happens to be in alinement with the channel H4 at the opposite end of the valve, but without forming any operative connection for the port, the channel having no other communication in this position. The slot port I32 is, by this position of the valve, placed in communication with the channel I2I and port I22, so that water admitted from the pipe 56' will be passed to the discharge pipe 58 and may pass directly to the pump for movement to the spray head, or may pass through this pipe directly to the spray head without the use of the pump, in case the pipes 56 and 57 are connected to water main supplies instead of gravity tank shown in Figure 1. The operating water inlet passage I29 has communication with the bore 91 through the ports I34 at suitable intervals circumferentially, but spaced longitudinally from the cap plate H5 so that the plunger valve 98 will move to the right thereof on its operation from the position shown in Figure 12, sufficiently to bring the passage I I4 into registry with the ports I34 from the passage I29. The land I35 immediately to the left of the channel H4 is somewhat broadened, at one part, and formed with a short longitudinal channel I36 at one part opening on the channel H4, and formed through the wall of the bore 31 for alinement with thischannel I36 and communicating therewith when the valve is at the right hand limit of its movement, there is a transverse port I3? of small diameter, opening through the wall of the casting and having a pipe i38 leading therefrom to a passage I39 formed in ie diaphragm housing, and opening through the outer half of the diaphragm housing in communication with the space at the outer side of the diaphragm. When the valve moves to the right and registers its channel II4 with the port I34 the groove I35 at the same time registers with the port I31, so as to supply operating water through the pipe I38 to the outer side of the diaphragm. With the valve in the left hand po sition as illustrated in Figure 12, this operating water is passed through the axial bore of the valve into the chamber 9I, by which it acts against the diaphragm to move it to the left. At this left position of the valve the right end land of the valve closes the port I3'I. Means is. provided for venting water from the respective sides of the diaphragm under pressure of the operating water through suitable controls, as will be subsequently explained. Also, when the valve is moved to its right position, the land I I3 closes the port I32, while the land I uncovers the port I33 except at the broadened part of the land heside the groove I36, and thereby admits cold water from the pipe 51 to the channel I2I and port I22 for movement to the pipe 50 (to the pump or direct to the spray head, as before indicated).

Let into the lower side of the chamber 9 I, there is a bleeder pipe I40, extending downwardly, and a similar bleeder pipe MI is connected to a T in the pipe I38, as in Figure 12. Both of these. pipes extend downwardly and otherwise as required, to respective bleeder valves I42 conveniently located to permit dial setting devices I43 for, the operation of the valves, to be located in a common mounting I44 set conveniently in the panel device 64. The setting devices in the present instance constitute the point members which may be fixed rigidly upon the stem of the bleeder valve in each instance. The valves I42 are operated respectively by the pointer hand devices I43, and these are associated with dial faces I45. By adjusting the valve in the pipe I4I the duration of the hot water application may be determined, in the present disclosure, and operation of the bleeder valve for pipe I determines the length of the cold water application. It will be noted that the discharge port I22 is always uncovered, and within the length of the central reduced part oi the valve, that is-in a plane intersecting the reduced central part of the valve at right angles. The dial faces I45 may be suitably calibrated, and preferably, the right hand one, which determines the period of the cold water application, is numbered to indicate the seconds of time required for movement of the diaphragm, while the other one is numbered in multiples of five, to indicate the duration of warm water'application, which ordinarily will extend over a longer period than the cold water application, where the invention is used in a pathological service. In other situations, however, the cold application may be of longer duration, and be even as long or longer than the period of hot water application,

in which event the dial faces I45 may be correspondingly numbered and the valve associated therewith corresponding in proportion to produce the desired time interval indicated by the dial. Bleeding of water from the chamber 9! to the pipe I40 permits movement of the diaphragm when in left-hand position to its extreme right hand position, and bleeding of liquid from within the diaphragm case to the left of the diaphragm,

; through the pipe I4I permits opposite movement,

and determines the length of period of hot water application, as will be readily understood.

It should be appreciated that when the installation utilizes the hot and cold water supplied from mains, as in Figure 16, the arm I23, shaft I24, and the stul'fing box may be eliminated entirely from the automatic valve 49-a,. It is believed preferable to use thermostatic mixing valves at I5I, of which there are forms now commercially available, which may be set todeliver water at 15 a predetermined temperature automatically when supplied adequately with hot and cold water supply at the inlets thereof.

As shown in Figure 16, hot and cold water pipes 56a and I-a, may be connected to the bosses II8 and I I9, respectively, and these may lead from respective mixing valves I5I, each of which has a hot and cold water supply, I52 and I53, respectively, so that the temperature for both the warm and cold applications may be regulated as desired to suit the special conditions. In this event, too, the pipeI54 leading from the nipple I29 at the discharge port of the valve '49-a may be led directly to the supply pipe for the spray nozzle in the cabinet, no pump being required, of course.

In the operation of this device, the cabinet being set up with the operative elements as described, and preliminary to the treatment of the patient-in case of the use of the tanks 44 and 45the heater device 45 being in operation, the thermostat 47 is adjusted to insure the proper temperature for the case in hand. The water in the tank 45 may be tempered if freshly admitted from extremely cold supply by introduction of a sufiicient amount of warm water, and in the event that it becomes warm during operation of the apparatus it may be cooled by admission of a fresh supply of cold water from any suitable source. The device 54 for regulating the pressure in the water supplied to the nozzle head is suf-- ficiently adjusted, which may be done by operating the pump 5| for a time while the reading on the gauge 65 is observed. The timing devices I43 are then suitably adjusted to determine the periods of applications of the hot and cold showers, after which the cover 33, or the cover 11, or other is then shifted so as to open the cabinet, and in the case of the cover 33, the door 29 is swung outwardly and downwardly. The patient then takes a sitting position upon the mattress 23, and lowers himself to a reclining position with his head upon the pillow 28, while he swings his feet inwardly under the cover and upon the mattress, after which the door 29 is raised, and the cover 33 swung back to position. With the other styles of cover, the appropriate procedure will be readily understood from the description in my copending application.

The operation of the device of Figure 1 is now initiated by operation of the motor 65, no further manipulation being required with the valve 49-a in place since the latter will start operation automatically by reason of connection of the operating water pipe to either the pump outlet or to a source of pressure water supply, as before explained. In the case of use of a hand valve, first described, an attendant or the patient may operate the valve handle 58 at appropriate intervals, to alternate the warm and cold spray as desired.

In the operation of both the hand and the automatic valve, as the valve is shifted 'toiadrnit cold water to the spray head, the tilting trough will be shifted to discharge the water returning therefrom to either the cold tank 45, or to the Waste pipe 53, in case the cold water supply is from a pressure supply main, and when the valve operates to supply warm water to the spray head, the tilting trough will be shifted to return the warm water to the tank 44, in case the supply has been taken from such tank. In the event, however, that pressure mains, hot and cold water both are utilized, the tilting trough may be dispensed with, and the water returningfrom the 16 tray in the several forms may pass directly to waste pipes of suitable construction.

From the foregoing, it will be seen that my automatic valve is adapted to administer a hot and cold alternated shower, with the period of each application independently determined upon so that a comparatively long period of warm spray may be intermitted by a very short spray of cold water, or, both the hot and cold spray may be made of short duration, or both of long duration comparatively. By the use of the thermostatic controls, the nature of the bath may be varied to'suit radically different cases, as, for instance, for persons who are quite ill or of extremely low vitality and liable to excessive discomfort or injury by very hot or very cold water, the temperatures may be modified to suit the particular case.

In the claims receiver may be understood .to refer to both a tank and reservoir and to a waste pipe.

It will be appreciated that if it is desired that the apparatus be used for a cold spray bath, or a warm spray bath, the respective valves I42 may be closed when the valve 98 is in proper position to supply the stream of the desired temperature and the valve 98 thus held in that Position; or, where the mixing valves are available, they may be adjusted to supply water of the same temperature to both the pipes 56' and 51".

While I have indicated a separate supply at I3I for the water operating the diaphragm, this is intended to enable use in a simple way of a constant pressure service water supply, when the pressure regulating valves controlling the pressure at the nozzle of the spray may maintain a low pressure at one time and a high pressure at another. But if desired, the water supplies to the valve case for passage .to the nozzle may be utilized to operate the diaphragm if desired.

It should be noted that the maximum clearance through the valves I42 is sufficiently restricted to insure a back pressure in the respective spaces beside the diaphragm to insure the operation of the diaphragm by the water admit- I ted thereto by the valve 98.

Where my valve 49-a is used in conjunction with the tanks 44 and 45, the supply connection I3I may be led from the pump outlet conduit between the pump and the pressure regulating valve 54, and the discharge ends of the vent pipes I40 and I 4| may be extended to the tray 22, or respectively to the tanks 44 and 45. In case this tends to build an excessive liquid level in either tank, a level-balancing duct I6I may be connected between the two tanks at a level slightly above the normal liquid level in the cold water tank at least. It may lead to the bottom of the hot water tank. The amount of Water thus interchanged will not be sumcient to materially affeet temperature requirements in either tank.

In Figures 1a and l-b there are shown the details of a valve 49 adapted to move through degrees in changing from one source to another for the supply to the spray nozzle in the upper part of the cabinet. In this instance, the valve case is formed with a usual conical seat therein from the upper part of which an outlet port I58 opens to the pipe 50 to the pump (or to the pipe 53 direct if a water main hot and cold water supply is used), and at the lower part of the case there are inlets I59 at diametrically opposite sides of the case, on an axis at right angles tothe direction of the port I58, receiving respectively the pipes 56 and 51 or connections therewith leading from the hot and cold water tanks,

register at either end with the outlet port I58 while in its lower end there is a single port I80 opening downwardly from the passage I51 and laterally at right angles to the direction of the passage lei, so as to register alternately with the inlet ports I59, when the valve is moved through 180 degrees from one position to the other.

In Figure 3-b the cold water supply pipe I9 is shown connected directly to one of the inlets of the valve 49, a manually adjustable pressure regulating valve 'II being incorporated in the pipe I0. The waste pipe 63' and tank 44 are arranged to alternate receiving relation to the tilting trough 42 as in Figure 3-1;. The pipe 56 is connected directly to the intake 58 of the pump through a cross-T, and the outlet pipe 53 from the pump is led to the remaining intake of the valve 49, while a continuation 53 is extended from the outlet of the valve corresponding to the pipe 53 of Figure 1, and to lead to the spray nozzle mechanismcin the upper part of the cabinet as before indicated. A by-pass connection 52 is formed between the pipe 53' and the intake of the pump, through the cross-T, and the pressure regulating valve 54 incorporated therein, so that when pressure of the discharge from the pump exceeds that which is desired, the valve will by-pass a sufiicient amount to lower the pressure in the pipe 53' or other pipe to the spray nozzle in the cabinet the desired degree.

In incorporating my system with the automatic valve 49a the latter may be mounted as shown in Figure 18, under the tanks, and in practice, it would be made much smaller in proportion to the size of the cabinet, having been enlarged for clarity in illustration. Figure 12 shows the approximate actual size of the device, as heretofore embodied, although it may be made larger, or its proportions between the operating diaphragm and the sliding valve varied. Thus the diaphragm and chamber and water connections are capable of operating a valve 98 of larger diameter and length, if necessary.

The pipes 55 and are led directly into the top of the device 49a and the pipe 59 led to the pump, where the hot and cold water tanks are used, and when piped water supply is used the connections may be varied in accordance with Figures 3a, 3-19, and Figure 16, as described. In the arrangement of Figures and 18 the pipe I3I may be connected to the outlet 53 of the pump in advance of or beyond the connection of the by-pass 52 or 52'. Where a cold water supply froma water main is utilized, the connection of the pipe I3I may be made thereto directly, if desired.

In order to permit drainage of the tanks when desired, the valves 52 are connected by short nipples directly through the bottoms of the respective tanks, and to the drain 63, to which the overflow pipes '48 are connected, The handles or knobs 61 of these valves may be extended so as to be operable at the rear side of the cabinet in a panel I62, which may be closed by a door I53, or left open as desired. Within this panel there may be located the main switch I65 to the motor 55, closing or opening of which may be utilized for starting and stopping the apparatus. The guage 65 is also so located as to be within this panel, as shown, and an extension of the adjusting device of the'pressure, controlling regulating valve 54, the knobs I43 for setting the timing of the periods for hot water flow and cold water flow,.and the thermostat setting device 67. This may be of a conventional type with any usual element in the tank M to operate a switch in the device. But in Figure 18 it is shown associated with a Bourdon guage Hit, connected by a usual duct with abottle I55 in the tank. The duct from the bottle may be connected with the thermostat i? which may be of suitable construction for the use. The thermostat 4'! and guage I56 may be located as desired, and in Figure 19 are shown as both located within the panel I52. In Figure 18 they are otherwise located for convenience in illustration. The guage, being free to indicate all pressures registered, will serve as an indication whether the thermostatic switch is functioning properly.

In incorporating the hot and cold water main arrangement of Figure 15, the motor 65 and pump 51, the tanks at and 45, the overflow pipes at and valves 62 and their connections are eliminated, as well as the heating device and its controls. In place of the switch I64 a master valve may be included in the pipe line i5 3 to the spray head, and valves in the hot and cold water mains used, these being sufiiciently obvious expedients to require no illustration. The temperature regulating valves i5! are preferably of one of the commercially available automatic thermostatic temperature regulating mixing valves, the details of which comprise no novel part of the present invention and therefore not being illustrated. These valves as now marketed have a manual setting device by which the temperature maintained, in the water passing may be varied at will by simplymoving the setting member.

In Figurethere is illustrated an important construction of the connections between the diaphragm and the plunger valve 98 wherein the principal distinction is the elimination of the balls; 96 and I04 (which might fail to maintain their proper positions at all times and so block movement of the valve), and the substitution of supporting stays having certain pivotal connections with the case and moving elements.

In this instance, the body casting 96' is formed with a chamber SI and valve mounting parts the same as before described, except that it is not necessary to finish a raceway or other surface for the balls. A diaphragm housing extension 52' is formed on the casting to which is bolted an outer housing plate 93' and between these the diaphragm $4 is secured. However, a seat plate I 55 of suitableiorm is interposed between the diaphragm 'and the part 92 apertured to receive the stem 95 of the diaphragm therethrough, but to support the base flange I65 of the stem, as well as thediaphragm itself when at the inner limit of its movement, thus minimizin strain and wear of the diaphragm. In place of the U-shaped member I:02--I'Il3, asimplerectilinear link I5! is pivotedon thestem 99. of the valve, and normally extends-under the stem 85, which is located slightly above the axis of the valve, aspace being afforded between thetwo for slight pivotal movement of both. The upper side of the stem 95 is notched at I68, and a strut, stay, or link I69 ha a lower terminal knife edge set therein, while a similar 7 knife edge extremity at the upperend of the link I69 is, set-in a notch no formed in the wall of th'e'chamber 9| in such position that upward movement of the stem is opposed by the link I59. The :link I61 is supported at its lower side in a similarmannen-a pivot strut or stay I'II having knife edge ends set in respective notches H2, H3, in the lower side of the link l! and the inner face of the casting 90' therebelow, so as to support the link against downward movement to the extent indicated. The spring N38 is connected to the link I67 and stem in the same relation as it was to the stem 95 and the pusher !02l03 of Figure 12. A single spring I08 mounted on pins fixed in the stem and link respectively may be used, or the pins may be extended through the stem and link or pusher, as shown in Figure 14, and a spring I 08 mounted on each side of the axis of the stem as shown in the latter view.

In Figure 21 the invention is shown embodied in one of its most compact and simplest forms. Here the piped supplies of hot and cold water I52 and I53 are branched and connected to the two automatic thermostatic mixing valve l5! shown formally, and from which the respective supplies of warm and cold water of temperatures regulated according to the manual settings of the valves l5! are led through the pipes 56-a and 5l'a to theinlet ports of the automatic valve 49-a located below the mixing valves.

Such pressure gauges and temperature gauges or thermometers, etc. may be installed as desired in accordance with Figures 18-19 or otherwise, or as discretion may dictate. For instance, the automatic pressure regulating valve 54' corresponding to the device 54 before described may be located in the pipe I54 from which the pipe is extended to the spray I67 and servo-motor I in the upper part of the cabinet which were designated 0'! and 15 respectively, in my said prior application.

For convenience the vent pipes I40 and MI are extended upwardly beside the tray 22, and formed with downturned ends arranged to discharge into the tray. The single waste pipe 53a is connected directly to the bottom of the tray 23 to drain all water therefrom, hot or cold. The vent pipes from the speed control valves of my prior application (by which the rate of movement of the spray nozzle I6! is controlled), may be located as found most convenient for the manipulation of the valves, and the location of the devices 60 in this application is purely formal, and may be otherwise, as circumstances require.

It will be appreciated that my invention both as to the spray head and its operating mechanism and the hot and cold water supply system can be adapted to use in connection with private bath tubs, if desired, the automatic valve device with piped hot and cold water supplies and with the automatic thermostatic mixing valves being adapted to be installed in a small closet in the usual stud partitions.

My invention is useful in the practice of somapathy in which alternated applications of heat and cold to the spine are involved, and also in practice of spondylotherapy wherein concussive treatments of the spinal nerves is an important feature. The reactions desired will be greatly enhanced by the appropriate thermal extremes suitably alternated.

The spray device which, in my said prior application, was mounted upon a stand pipe 32- carried by the supporting frame-work of the bath tray, may be mounted in and directly on the cover of the cabinet in either form as herein disclosed, so as to be moved translativelytherewith, and connections of the supply conduits made by means of conventional flexible hose or other ducts as an-alternative to the connection shown in Figures 9 and 10. It is also possible,

by rearrangement of parts in more compact'form,

to mount the spray device on a stationary support extended'from the framing 2|, so that lim' ited movement of the cover 33 may be effected without interference.

Figure 17 presents an example of the spray unit carried by the movable cover, and movable therewith bodily when the cover is opened or closed.

If it is desired to use electrical controls for the timing of the flow of hot and cold water, respectively, this may be done with the arrangement shown in Figures 22 te24, inclusive, which also includes great certainty in the maintenance of the period of flow of both the hot and cold water, in which respect it may have some advantages over some of the perviously described arrangements, due to the difficulty of calibrating in time the movement of elements operated by water pressure, which may vary at different times in the same apparatus. In the last mentioned devices, there is provided a simple valve 20l, consisting of a case 202 having an upper inlet port 203 at one side, used for cold water in the present instance, and at its lower part a corresponding diametrically opposite inlet port 204, through which warm water is admitted, in the present instance, while at an intermediate level an outlet port 205 opens on a radius at right angles to the diameter on which the ports 203 and 204 are located. The case has a vertical cylindrical bore 206 entirely therethrough, communicating with which there is a central circumscribing channel 201 from which the port 205 opens, and upper and lower channels 208 and 209, respectively, communicating respectively with the ports 203 and 204. It will be noted that in the formation of the channels, the central channel is separated from the upper and lower ones by land walls 2l0, through which the bore 206 is continued. Slidably reciprocable in the bore of the case, there is a spool-type valve 2| I, having upper and lower lands or heads 212 and H3, respectively, connected by a reduced part 2M, and extending upwardly from the valve there is'a short stem 2|5 by which the valve is operated, as will be described. The head portions 2 l2-2 [3 are each of a similar length, and are atv least long enough to alternately close communication between the respective channels 208 and 209 and the adjacent central channel 201, with adequate lap upon the portions of the bore above and below the upper and lower channels. As shown, the valve is in its lower position closing communication between the port 203 and the port 205, butpermit- F ting communication between the port 204 and the port 205, water passing inwardly from the port 204 to the channel 209,- and then passing upwardly through the adjacent land wall 2l0 to the channel 201, from which the water passes directly to the port 205. 1'

'I'hedevice is operated by a solenoid device 2| 6, having upper and lower coils 2|'I-2l8, arranged to operate a core 2l9 which is connected to the stem 2|5 of the valve by a core stem 220 extended integrally from the lower end of the core and connected detachably to the stem 215, as indicated. The coils may be arranged closer together than shown, and the core correspondingly shortened to operate properly therewith, if desired, according to the requirements of use and convenience and economy in manufacture. The two coils are shown with a common mounting piece 22l, to which may be connected a bracket piece 222, which in the present instance, is mounted directly upon the valve case 202. The 

